Abstract
This study is a narrative review of the current literature regarding intracorporeal ileocolic anastomosis in laparoscopic right colon resection for benign or malignant diseases of the right colon and terminal ileum. The search strategy included Medline, Embase, CINAHL, ACP Journal Club, and Cochrane databases with laparoscopic right colectomy and intracorporeal anastomosis as keywords. All retrieved references were screened by two independent blinded reviewers. Thirteen papers including 611 patients undergoing laparoscopic right colon resection with intracorporeal ileocolic anastomosis for benign or malignant diseases of the right colon and terminal ileum were identified. There were eight case series and five case control studies. Anastomoses were fashioned as antiperistaltic or isoperistaltic, totally stapled or stapled/handsewn. The mesenteric defect was mostly left open. Overall operating time ranged from 53 to 360 min. The most common specimen extraction site locations were periumbilical, suprapubic, or transvaginal with a median incision length ranging from 3 to 6 cm. The overall rate of surgical site infection was 2.7 %. The anastomotic leak rates varied from 0 to 8.5 %. Postoperative mortality was 0.12 %. Intracorporeal ileocolic anastomosis following laparoscopic resection of the right colon is not commonly performed, but offers potential benefits if carried out by experienced surgeons in selected patients.
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References
Young-Fadok TM, Nelson H (2000) Laparoscopic right colectomy: five-step procedure. Dis Colon Rectum 43:267–271 discussion 271–273
Senagore A, Delaney C, Brady K, Fazio V (2004) Standardized approach to laparoscopic right colectomy: outcomes in 70 consecutive cases. J Am Coll Surg 5:675–679
Ou H (1995) Laparoscopic-assisted mini laparotomy with colectomy. Dis Colon Rectum 38:324–326
Casciola L, Ceccarelli G, Di Zitti L et al (2003) Laparoscopic right hemicolectomy with intracorporeal anastomosis. Technical aspects and personal experience. Minerva Chir 58:621–627
McKenzie S, Baek J-H, Wakabayashi M, Garcia-Aguilar J, Pigazzi A (2010) Totally laparoscopic right colectomy with transvaginal specimen extraction: the authors’ initial institutional experience. Surg Endosc 24:2048–2052
Park JS, Choi GS, Lim KH et al (2010) Clinical outcome of laparoscopic right hemicolectomy with transvaginal resection, anastomosis, and retrieval of specimen. Dis Colon Rectum 53:1473–1479
Awad ZT, Qureshi I, Seibel B, Sharma S, Dobbertien MD (2011) Laparoscopic right hemicolectomy with transvaginal colon extraction using a laparoscopic posterior colpotomy: a 2-year series from a single institution. Surg Laparosc Endosc Percutan Tech 21:403–408
Franklin ME Jr, Gonzalez JJ Jr, Miter DB et al (2004) Laparoscopic right hemicolectomy for cancer: 11-year experience. Rev Gastroenterol Mex 69:65–72
Hellan M, Anderson C, Pigazzi A (2009) Extracorporeal versus intracorporeal anastomosis for laparoscopic right hemicolectomy. JSLS 13:312–317
Grams J, Tong W, Greenstein AJ, Salky B (2010) Comparison of intracorporeal versus extracorporeal anastomosis in laparoscopic-assisted hemicolectomy. Surg Endosc 24:1886–1891
Chaves JA, Idoate CP, Fons JB et al (2011) A case control study of extracorporeal versus intracorporeal anastomosis in patients subjected to right laparoscopic hemicolectomy. Cir Esp 89:24–30
Bergamaschi R, Schochet E, Haughn C, Burke M, Reed JF 3rd, Arnaud JP (2008) Standardized laparoscopic intracorporeal right colectomy for cancer: short-term outcome in 111 unselected patients. Dis Colon Rectum 51:1350–1355
Bergamaschi R, Haughn C, Reed JF 3rd, Arnaud JP (2009) Laparoscopic intracorporeal ileocolic resection for crohn’s disease: Is it safe? Dis Colon Rectum 52:651–656
Kracht M, Hay JM, Fagniez PL, Fingerhut A (1993) Ileocolonic anastomosis after right hemicolectomy for carcinoma: stapled or hand-sewn? A prospective, multicenter, randomized trial. Int J Colorect Dis 8:29–33
Scatizzi M, Kroning K, Borrelli A, Andan G, Lenzi E, Feroci F (2010) Extracorporeal versus intracorporeal anastomosis after laparoscopic right colectomy for cancer: a case-control study. World J Surg 34:2902–2908
Blumberg D (2009) Laparoscopic colectomy performed using a completely intracorporeal technique is associated with similar outcomes in obese and thin patients. Surg Laparosc Endosc Percutan Tech 19:57–61
Fabozzi M, Allieta R, Contul RB et al (2010) Comparison of short- and medium-term results between laparoscopically assisted and totally laparoscopic right hemicolectomy: a case-control study. Surg Endosc 24:2085–2091
Cabot JC, Lee SA, Yoo J, Nasar A, Whelan RL, Feingold DL (2010) Long-term consequences of not closing the mesenteric defect after laparoscopic right colectomy. Dis Colon Rectum 53:289–292
Causey MW, Oguntoye M, Steele SR (2011) Incidence of complications following colectomy with mesenteric closure versus no mesenteric closure: does it really matter? J Surg Res 171:571–575
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Tarta, C., Bishawi, M. & Bergamaschi, R. Intracorporeal ileocolic anastomosis: a review. Tech Coloproctol 17, 479–485 (2013). https://doi.org/10.1007/s10151-013-0998-7
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DOI: https://doi.org/10.1007/s10151-013-0998-7